婴幼儿上气道良性占位141例临床分析  

Analysis of 141 cases with benign upper airway occupying in infant

作　　者：温鑫[1] 黄爱萍[1] 张爱英[1] 许敏 宋英鸾[1] 崔莉[1] 耿江桥[1] 史静[2] WEN Xin;HUANG Aiping;ZHANG Aiying;XU Min;SONG Yingluan;CUI Li;GENG Jiangqiao;SHI Jing(Department of Otolaryngology,Hebei Children's Hospital,Shijiazhuang,050031,China;Department of Anesthesiology,Hebei Children's Hospital)

机构地区：[1]河北省儿童医院耳鼻咽喉科,石家庄050031 [2]河北省儿童医院麻醉科

出　　处：《临床耳鼻咽喉头颈外科杂志》2024年第4期334-338,共5页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:分析和总结婴幼儿上气道良性占位的临床特点、诊断、治疗及预后。方法:回顾性分析2012年1月—2022年1月我院诊治的141例上气道良性占位患儿的临床资料。其中男85例,女56例;年龄0~3岁,其中新生儿24例。对其临床特点、辅助检查、治疗结果进行总结和分析。结果:141例患儿主要临床表现为呼吸困难和(或)喉喘鸣,其中先天性舌根囊肿116例,毛息肉15例,鼻咽部第二鳃裂囊肿4例,先天性喉小囊囊肿2例,咽部支气管源性囊肿2例,鼻咽部畸胎瘤1例,肌纤维瘤1例。所有患儿都完成相应检查和治疗,诊断明确,无漏诊或误诊,其中19例舌根囊肿患儿行囊肿穿刺术,术后随访2例先天性舌根囊肿患者,因其术后半年复发故行二次手术,其他患儿预后良好。结论:婴幼儿上气道良性占位,以囊性肿物多见,内镜辅助下低温等离子切除病变为主要治疗方式,对于呼吸困难严重且生命危急的患儿及时的穿刺治疗也是一种安全有效的治疗方法。Objective:To analyze and summarize the clinical characteristics,diagnosis,treatment and prognosis of benign upper airway space occupancy in infants.Methods: The clinical data of 141 cases with begin upper airway space from January 2012 to January 2022 were analyzed.Among them,101 were male and 68 were female,the age is 0-3 years old.In which there were 24 newborns.The clinical characteristics,auxiliary examination and treatment results were summarized and analyzed.Results: The main clinical manifestations of 141 infants were dyspnea and/or laryngeal wheezing,including 116 cases of congenital cyst of tongue,15 cases of hair polyps,4 cases of nasopharyngeal second pharyngeal fissure cysts,2 cases of congenital laryngeal cysts,2 cases of pharyngeal bronchial cyst,1 case of nasopharyngeal teratoma and 1 case of myofibroma.All the infants had completed the corresponding examination and treatment.The diagnosis was clear,and there was no missed diagnosis or misdiagnosis.Among them,19 infants with congenital cyst of tongue were given cyst puncture to relieve dyspnea.2 cases of congenital cyst of tongue recurred half a year after operaion,and then they underwent reoperation.The prognosis of the remaining infants were good.Conclusion: The most common occupying of benign upper airway space occupancy is cyst,and low-temperature plasma resection under endoscope is the main treatment method.Timely puncture therapy is also a safe and effective treatment for infants who are dyspnea and life threatening.

关 键 词：上气道肿物 呼吸困难 婴幼儿 低温等离子 

分 类 号：R739.65[医药卫生—肿瘤]